40623 (2) %Y OF SAN jo&,Ibb BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .3y0.,2..... Lot No. F--------------
Pate-.& ... Permit No.
...................
Application is hereby made for a permit to ..... ......... -------------- --------------
I....../......story, Type- ........ Building
at Ovae------Rp-------- ------------------- Use Zone _R.7�.----------
7c"'ll ----- -------
to be occupied only as "0000i Space
P ac c ------
in accordance with Plans, SPiEifications and Plot-plan filed herewith.
Estimated Value of Improvements, ?LZ------- ----
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be
complied with.
I certify that in the perficirmance of the work for which this s permit is issued I shall not employ any per.
son in any manner so a, to CAMP
wo)4rme6s compensation laws of California.
ISCHULTE-CAMP IDE. . 0.
Owner t3'3 SO_ B_J)9C01411,1' Address ........................... ......................... ......
....... .....
---Address
............. ------------------------------------- --------------- -
Contracts,
ByAgant-
Form 280-1 92L 13Ubr) Rd. Schulti;i npw .
-- -- , —L. -- .-. RECORD
OF
INSPECTION
Foundation G. - rJJ0t Frame ... — -
2 ----------------- Q1W
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o - 25GSfucc -3 —C 3
... .. _.. Finish _.x..
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